Your name:


Your email:


Phone Number


Name of Your Traffic Program


URL of Program



Your Coupon Offer (List full details of what Member receives:


Banner URL(s) (468x60 and/or 125x125)


How to Redeem Coupon


When Coupon Expires (recommended: "Valid Until Further Notice")


Tell us a little about your program (i.e. # of members, type of program, unique features, how long in business, etc.)


Any additional comments, questions, etc.


INSTRUCTIONS:

Please fill out the following form as completely as possible. Please remember that all coupons you offer on TrafficCoupons.com are required to be exclusive for TrafficCoupons.com Members only. That is our only steadfast rule and requirement for traffic program owners.

Once you coupon(s) is accepted and approved it will be uploaded to the TrafficCoupons.com Members area. An email blast to all members regarding your coupon(s) will go out within 24 to 48 hours of your coupon(s) being uploaded.

Please allow up to 1 week for us to upload your coupon(s). You will be notified once it is "live" on the site.

If you have any questions please contact: trafficcoupons@gmail.com

NOTE: Please use a separate form for each coupon you are offering. You are allowed to submit as many coupons as you like (don't go crazy with it though!). We may contact you to discuss your offers prior to accepting them.